Align to Shine Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ALIGN TO SHINE CHIROPRACTIC LLC

Practice address

1633 N Hiatus Rd
Pembroke Pines, FL 33026-2129

Phone

(754) 281-2443

NPI assigned

Apr 27, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ricardo Luis Bacallao, DCNPI 1588151997

Title

PD

Phone

(754) 281-2443

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo Luis Bacallao, DC

  • Chiropractor
  • Pembroke Pines, FL
  • NPI 1588151997
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1902394778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266544",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333266544",
            "telephone_number": "754-281-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 N HIATUS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262129",
            "telephone_number": "754-281-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN TO SHINE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "BACALLAO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PD",
        "authorized_official_telephone_number": "754-281-2443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Pembroke Pines, FL
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.